Volume 30, Issue 2 pp. 593-603
ORIGINAL ARTICLE

Glycation promotes pulp calcification in Type 2 diabetes rat model

Aoi Takashima

Aoi Takashima

Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, Suita, Japan

Contribution: Writing - original draft, Resources, Data curation, Methodology, ​Investigation, Visualization

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Jiro Miura

Corresponding Author

Jiro Miura

Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, Suita, Japan

Correspondence

Jiro Miura, Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan.

Email: [email protected] and [email protected]

Contribution: Conceptualization, Methodology, Data curation, ​Investigation, Visualization, Writing - original draft, Funding acquisition, Project administration, Supervision, Writing - review & editing, Formal analysis

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Keita Sugiyama

Keita Sugiyama

Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, Suita, Japan

Contribution: Methodology, ​Investigation, Data curation, Writing - original draft

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Masato Shimizu

Masato Shimizu

Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, Suita, Japan

Contribution: Data curation, Methodology, ​Investigation, Writing - original draft

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Misa Okada

Misa Okada

Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, Suita, Japan

Contribution: ​Investigation, Funding acquisition, Data curation, Resources

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Tomohiro Otani

Tomohiro Otani

Department of Mechanical Science and Bioengineering, Graduate School of Engineering Science, Osaka University, Toyonaka, Japan

Contribution: Writing - original draft, ​Investigation, Methodology, Data curation, Conceptualization, Project administration, Visualization

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Tadashi Nagashima

Tadashi Nagashima

Division for Interdisciplinary Dentistry, Graduate School of Dentistry, Osaka University, Suita, Japan

Contribution: Conceptualization, Validation, ​Investigation

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Tetsuya Tsuda

Tetsuya Tsuda

Department of Materials Science, Graduate School of Science and Engineering, Chiba University, Chiba, Japan

Contribution: Data curation, Software, Supervision, Resources, Writing - original draft

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Tsutomu Araki

Tsutomu Araki

Department of Mechanical Science and Bioengineering, Graduate School of Engineering Science, Osaka University, Toyonaka, Japan

Contribution: Conceptualization, Supervision, Visualization, Writing - original draft, Writing - review & editing, Formal analysis

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First published: 27 February 2023
Citations: 1

Aoi Takashima, Jiro Miura are joint first authors and contributed equally to this study.

Abstract

Objectives

Intrapulpal calcifications can occur in the dental pulp of patients with diabetes. We focused on the association between ectopic calcifications in the dental pulp and advanced glycation end products (AGEs) in Spontaneously Diabetic Torii (SDT)-fatty rats, an obese type 2 diabetic rat model, to determine the mechanism of calcification with pulp stone in the dental pulp.

Materials and Methods

Pathologic calcification in the dental pulp of SDT-fatty rats was observed using electron microscopy and immunohistochemical analysis. Moreover, mechanical analysis of periapical region of molar tooth against occlusal force was performed.

Results

In SDT-fatty rats, pathogenic pulpal calcifications occurred during blood glucose elevation after 6 weeks, and granular calcification was observed in the dental pulp after 11 weeks. Pentosidine, a major AGE, and the receptor for AGEs were strongly expressed in the dental pulp of SDT-fatty rats. S100A8, TNF-α, and IL-6 also showed positive response in the dental pulp of the SDT-fatty rat, which indicated pulpal inflammation. Blood flow disorder and hypoxic dental pulp cells were also observed. In silico simulation, strain from occlusal force concentrates on the root apex.

Conclusions

Glycation makes blood vessels fragile, and occlusal forces damage the vessels mechanically. These are factors for intrapulpal calcification of diabetes.

CONFLICT OF INTEREST STATEMENT

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are openly available in Osaka University Knowledge Archive at https://ir.library.osaka-u.ac.jp/repo/ouka/all/?lang=1.

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